Individual
RYAN ALLEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N 4TH ST, SUNBURY, PA 17801-1238
(570) 286-0276
Mailing address
171 SHAFFER HILL LN, HERNDON, PA 17830-7205
(570) 541-8350
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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